{"paper_id":"f93bca5c-d9d6-4102-83de-e8b57bdba1fd","body_text":"A CASE OF ENDMETRIOSIS OF THE CECUM PRESENTING WITH MELENA\n1993 Volume 54 Issue 1 Pages 160-163\nDetails\nAbstract\nWe rarely encounter endometriosis of the intestine, especially that of the cecum in Japan. This paper describes such a rare case of endometriosis of the cecum.\nA 45-year-old woman was seen at the hospital because of melena. Barium enema did not visualize the appendix but showed a 3.5×2.5cm tumor shadow in the cecum. Colonoscopy revealed an elevated lesion like a submucosal tumor in the same region. CT exhibited a slightly swollen uterus and cystic lesion in the left ovary. In addition, the patient had been suffering from dysmenorrhea. Thus, endometriosis of the cecum was suspected and operation was carried out. During surgery it was found that the uterus swelled to be a fist-size, and firmly adhered to anterior wall of the rectum, the left ovary was a chocolate cyst with the size of infant fist, and a tip of the thumb-sized tumor was palpated in the cecum, however, the apendix could not be found. Ileocecal excision, total hysterectomy, excision of bilateral uterine supports were carried out. Histpathologically the patient was diagnosed as adenomyosis uteri and endometriosis of the left ovary and cecum. The cecum part extended from serosa to submucosal layer, as if it winded around the atrophied appendix. The patient has a symptom-free daily life, as of 7 months after the operation.\nA 45-year-old woman was seen at the hospital because of melena. Barium enema did not visualize the appendix but showed a 3.5×2.5cm tumor shadow in the cecum. Colonoscopy revealed an elevated lesion like a submucosal tumor in the same region. CT exhibited a slightly swollen uterus and cystic lesion in the left ovary. In addition, the patient had been suffering from dysmenorrhea. Thus, endometriosis of the cecum was suspected and operation was carried out. During surgery it was found that the uterus swelled to be a fist-size, and firmly adhered to anterior wall of the rectum, the left ovary was a chocolate cyst with the size of infant fist, and a tip of the thumb-sized tumor was palpated in the cecum, however, the apendix could not be found. Ileocecal excision, total hysterectomy, excision of bilateral uterine supports were carried out. Histpathologically the patient was diagnosed as adenomyosis uteri and endometriosis of the left ovary and cecum. The cecum part extended from serosa to submucosal layer, as if it winded around the atrophied appendix. The patient has a symptom-free daily life, as of 7 months after the operation.\n© Japan Surgical Association\nFavorites & Alerts\nRecently viewed articles","source_license":"CC0","license_restricted":false}